Foothill Hospice

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

FOOTHILL HOSPICE

Practice address

123 E 9TH St Ste 102a
Upland, CA 91786-6033

Phone

(949) 690-5224

NPI assigned

Jun 9, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ameneh Abusafieh

Title

DPCS

Phone

(949) 690-5224

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1750906384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 HOLLYLEAF",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926562130",
            "telephone_number": "949-690-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 E 9TH ST STE 102A",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866033",
            "telephone_number": "949-690-5224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 E 9th St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917866033",
            "country_code": "US",
            "telephone_number": "949-690-5224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOOTHILL HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "ABUSAFIEH",
        "authorized_official_first_name": "AMENEH",
        "authorized_official_title_or_position": "DPCS",
        "authorized_official_telephone_number": "949-690-5224"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Upland, CA
• Providers in Upland, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.